Folder Transforming Care

Transforming care for people with learning disabilities is a national programme to improve services for people with learning disabilities and/or autism, who display behaviour that challenges, including those with a mental health condition. This will drive system-wide change and enable more people to live in the community, with the right support, and close to home.

Led jointly by NHS England, the Association of Adult Social Services (ADASS), the Care Quality Commission (CQC), Local Government Association (LGA), Health Education England (HEE) and the Department of Health (DH), the Transforming Care programme focuses on the five key areas of:

Empowering individuals

Right care, right place

Workforce

Regulation

Data.

The national plan, Building the Right Support, that has been developed jointly by NHS England, the LGA and ADASS, is the next key milestone in the cross-system Transforming Care programme, and includes 48 Transforming Care Partnerships across England to re-shape local services, to meet individual’s needs. This is supported by a new Service Model for commissioners across health and care that defines what good services should look like.

The plan builds on other transforming care work to strengthen individuals’ rights; roll out care and treatment reviews across England, to reduce unnecessary hospital admissions and lengthy hospital stays; and test a new competency framework for staff, to ensure we have the right skills in the right place.

The Transforming Care programme is focusing on addressing long-standing issues to ensure sustainable change that will see:

More choice for people and their families, and more say in their care

Providing more care in the community, with personalised support provided by multi-disciplinary health and care teams

More innovative services to give people a range of care options, with personal budgets, so that care meets individuals’ needs

Providing early more intensive support for those who need it, so that people can stay in the community, close to home

But for those that do need in-patient care, ensuring it is only for as long as they need it.

Care and Treatment reviews

Care and Treatment Reviews (CTR) have been developed as part of NHS England’s commitment to transforming the services for people with learning disabilities and/or autism who display behaviour that challenges, including those with a mental health condition.

The CTR ensures that individuals get the right care, in the right place that meets their needs, and they are involved in any decisions about their care.

The policy for Care and Treatment Reviews, also called CTRs, changed in March 2017. View the latest policy.